Individual
MILO LJOSENVOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 N HIGHWAY 53, COOK, MN 55723-8100
(218) 666-5325
(218) 666-2307
Mailing address
PO BOX 32, BIGFORK, MN 56628-0032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122468
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122468
MINNESOTA PHARMACIST LICENSE
MN
01
—
14920
NEBRASKA PHARMACIST LICENSE
NE
01
—
20755-40
WISCONSIN PHARMACIST LICENSE
WI
Enumeration date
04/29/2019
Last updated
04/15/2026
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